MEDICARE: CFCORPORATE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1548961170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CFCORPORATE LLC

Provider Business Mailing Address
First Line	:	2828 E LAKE MEAD BLVD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6548
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4270 S DECATUR BLVD STE A1
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-6801
Country	:	US
Telephone Number	:	702-988-8800
Fax Number	:	702-445-7429

Authorized Official
Title or Position	:	OWNER
Name	:	OSCAR TORO
Credential	:
Telephone Number	:	702-551-2222

Provider Enumeration Date	:	03/10/2023
Last Update Date	:	03/31/2023

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Directions to “CFCORPORATE LLC ” Practice Location

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